JOSE M DUENES A PROFESSIONAL DENTAL CORP DBA MIRA COSTA DENTAL (NPI# 1760682686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760682686 |
| Entity Type | Organization |
| Organization Name | JOSE M DUENES A PROFESSIONAL DENTAL CORP DBA MIRA COSTA DENTAL |
| Other Organization Name | MIRA COSTA DENTAL |
| Practice Address |
3502 College Blvd Ste B Oceanside CA 92056 |
| Practice Telephone | 7609417502 |
| Practice Fax Number | 7609402704 |
| Mailing Telephone | 7609417502 |
| Mailing Fax Number | 7609402704 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2008-07-17 |
| Authorized Official Name | MR. JOSE M DUENES (OWNER PRESIDENT) |
| Authorized Official Telephone | 7609417502 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 35047 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Mira Costa Dental | Doing Business As Name - Organization |
| Street Address |
3502 COLLEGE BLVD STE B |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922140391 | Jose M Duenes | Dentist | 3502 College Blvd, #b, Oceanside, CA 92056-4671 | 2007-02-13 |
| 1528195088 | Angela T Duenes | Dentist | 3502 College Blvd, Ste B, Oceanside, CA 92056 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
| 1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
| 1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
| Find all providers in zip 92056 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835952 | Emma Caitlin Johnson | Dentist | 92055 14th St, Bldg 13128, Oceanside, CA 92058 | 2020-06-16 |
| 1275170219 | Prohealth Dental Pllc | Dentist | 2870 Long Beach Road, Oceanside, NY 11572 | 2019-12-10 |
| 1033673033 | Warner Dental Group | Dentist | 3638 Ocean Ranch Blvd, Oceanside, CA 92056-2669 | 2019-01-24 |
| 1619444189 | Victoria D Nguyen Dds Inc | Dentist | 4171 Oceanside Blvd Ste 100c, Oceanside, CA 92056-6023 | 2018-11-01 |
| 1972090256 | Jaspreet Singh | Dentist | 2870 Long Beach Rd, Oceanside, NY 11572-3114 | 2018-04-22 |
| 1386146157 | Dankworth Dental Corp. | Dentist | 3762 Mission Ave Ste 104, Oceanside, CA 92058-1438 | 2018-03-07 |
| 1043710494 | Tapp Dental Group | Dentist | 1478 Burroughs St, Oceanside, CA 92054-5431 | 2018-02-12 |
| 1104345396 | Asnis Dental Pllc | Dentist | 3533 Long Beach Rd, Oceanside, NY 11572-5700 | 2017-09-19 |
| 1780117036 | Joshua Vert | Dentist | 1910 Mission Ave Ste 4, Oceanside, CA 92058-7129 | 2017-04-04 |
| 1972049906 | Emiliano Navejas Carpio | Dentist | 2484 Vista Way Ste B, Oceanside, CA 92054-5682 | 2017-01-14 |
| Find all providers in OCEANSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.